Nevada County Animal License Application
Nevada County Ordinance requires all dogs over 4 months old in the unincorporated
county to be vaccinated against rabies and licensed with the County.
Please print clearly and fill in all information.
Owner Last Name
Owner First Name
Residential Address (required)
City
Rabies Tag # (Enclose Certificate) Rabies Vacc. Date
Apt #
State
Zip
Home Phone
Species
Pet Name
Microchip Number
License Fees
Color(s)
Weight
1-Year
q$35.00
q$15.00
2-Year*
q$65.00
q$28.00
3-Year*
q$ 95.00
q$ 35.00
Tag Fee (1st License or Replacement Tag) q$ 6.00
Alternate Phone
Breed (If unknown, list breed most resembles) Sex
Vacc. Exp. Date
Name of Vet or Hospital
Unaltered Dog
Spayed/Neutered Dog**
Mailing Address
Nevada County Animal Licensing
c/o PetData
PO Box 141929
Irving, TX 75014-1929
c Spayed/Neutered
c Unaltered
Age/Birthdate
Late Fee Unaltered Dog (30 Days Late)
Late Fee Altered Dog (30 Days Late)
q$30.00
q$10.00
*A multi-year license is only available if the pet's rabies vaccination is
current for the same time period.
**Proof of Spay/Neuter is required for discounted fees.
Total Enclosed $
To License Your Pet Online: m Go to www.petdata.com and enter your zip code. m Under License Now, click "Online." Required documents may be uploaded or
submitted later by fax, mail or email. Pay with a major credit card. A convenience fee will apply per transaction. Multiple pets can be licensed in one transaction.
To License Your Pet by Mail: m Complete this application, m Enclose a copy of your pet's current rabies vaccination certificate, m Enclose proof of spay/
neuter if it is not indicated on the rabies certificate, m Make your check or money order payable to Nevada County Animal Services (please do not send cash), m Mail
to: Nevada County Animal Licensing, c/o PetData, PO Box 141929, Irving TX 75014-1929. Paperwork will not be returned - please submit copies of required documents.
Questions? Call toll-free 1-855-884-9551 or visit www.petdata.com